Individual
TABREA RICHAYE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2416 COCKATOO DR, N LAS VEGAS, NV 89084-3137
(702) 883-6612
Mailing address
2416 COCKATOO DR, N LAS VEGAS, NV 89084-3137
(702) 883-6612
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3747A0650X
NV
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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